Entity Name: | BEHAVIOR HEIGHTS, CORP. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 08 Aug 2023 (a year ago) |
Document Number: | P23000058054 |
FEI/EIN Number | 93-2768982 |
Address: | 405 LAKE VIEW LANE, PALM BAY, FL 32909 |
Mail Address: | 405 LAKE VIEW LANE, PALM BAY, FL 32909 |
ZIP code: | 32909 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609559764 | 2023-08-07 | 2023-08-07 | 405 LAKE VIEW LN, PALM BAY, FL, 329097126, US | 405 LAKE VIEW LN, PALM BAY, FL, 329097126, US | |||||||||||||||||||
|
Phone | +1 786-773-8356 |
Authorized person
Name | MRS. JESSICA M MEDINA |
Role | SVP |
Phone | 7867738356 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1548751993 |
State | FL |
Name | Role | Address |
---|---|---|
MEDINA, JESSICA M | Agent | 405 LAKE VIEW LANE, PALM BAY, FL 32909 |
Name | Role | Address |
---|---|---|
MEDINA, JESSICA M | Secretary | 405 LAKE VIEW LANE, PALM BAY, FL 32909 UN |
Name | Role | Address |
---|---|---|
MEDINA, JESSICA M | Vice President | 405 LAKE VIEW LANE, PALM BAY, FL 32909 UN |
MEDINA, MICHAEL | Vice President | 405 LAKE VIEW LANE, PALM BAY, FL 32909 UN |
Name | Role | Address |
---|---|---|
ARANGO, LUIS F, JR. | Chief Financial Officer | 10522 SW 117 ST, MIAMI, FL 33176 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-28 |
Domestic Profit | 2023-08-08 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State